SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2016
Open to Public
Inspection
Name of the organization
Addison County Home Health Hospice Inc
 
Employer identification number

23-7032401
Return Reference Explanation
Form 990, Part VI, Section B, line 11b The Executive Director and Chief Financial Officer review and approve the 990 and make the form available to the Board President.
Form 990, Part VI, Section B, line 12c Board Members are aware of the policy they sign annually and are instructed to disclose conflicts, if any arise during the year.
Form 990, Part VI, Section B, line 15 The Board of Directors evaluate the Executive Director's performance and the Agency participates in wage and benefit surveys conducted by the Vermont Assembly of Home Health Agencies.
Form 990, Part VI, Section C, line 19 The Organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2016


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